2 Journal of Nursing Education
آموزش پرستاری
3 JNE
Medical Sciences
http://jne.ir
1
admin
2322-3812
2322-4428
8
10.22034/jne
14
8888
13
fa
jalali
1402
6
1
gregorian
2023
9
1
12
4
online
1
fulltext
fa
تعیین روابط علی بین سیستم مغزی رفتاری با آسیبپذیریروانی در بیماران زن مبتلا به دیابت براساس نقش میانجیگری حساسیت اضطرابی
Determining the Causal Relationships between the Brain-behavioral System and Psychological Vulnerability in Female Patients with Diabetes Based on the Mediator Role of Anxiety Sensitivity
تخصصي
Special
پژوهشی-کمی
Quantitative-Research
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">مقدمه:</span></span></b> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">بیماران</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">مبتلا</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">به</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">دیابت</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">معمولا</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">بعد</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">از</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">تشخیص</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">بیماری</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">و</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">در</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">طی</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">فرایند</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">درمان،</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">دچار</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">آسیبپذیریروانی بسیاری</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">میشوند</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">و</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">یکی</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">از</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">عوامل</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">مرتبط</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">با</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">آسیب</span></span><span lang="FA" style="color:black"></span><span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">پذیری</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">روانی</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">در</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">بیماران</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">مبتلا</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">به</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">دیابت،</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">سیستمهای</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">مغزی</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">رفتاری</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">است،</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">لذا</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">این</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">پژوهش</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">با</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">هدف،</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">تعیین</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">روابط</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">علی</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">بین</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">سیستم</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">مغزی</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">رفتاری</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">با</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">آسیبپذیریروانی در</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">بیماران</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">زن</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">مبتلا</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">به</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">دیابت</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">براساس</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">نقش</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">میانجیگر</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">حساسیت</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">اضطرابی</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">انجام</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">شد.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">روش</span></span></b><b> </b><b><span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">کار: </span></span></b><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">روش</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">پژوهش</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">توصیفی</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">و</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">بر</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">اساس</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">معادلات</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">ساختاری</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">میباشد. جامعه</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">آماری</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">پژوهش</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">شامل</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">تمامی</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">زنان</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">مبتلا</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">به</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">دیابت</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">کلینیک</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">تخصصی</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">دیابت</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">شهر</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">کرج</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">در</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">نیمسال</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">اول</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">سال</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">1401 بود</span></span><span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">ند</span></span><span lang="AR-SA" style="color:black">. </span><span b="" lang="AR-SA" nazanin="" style="font-family:">در</span> <span b="" lang="AR-SA" nazanin="" style="font-family:">این</span> <span b="" lang="AR-SA" nazanin="" style="font-family:">پژوهش</span> <span b="" lang="AR-SA" nazanin="" style="font-family:">با</span> <span b="" lang="AR-SA" nazanin="" style="font-family:">توجه</span> <span b="" lang="AR-SA" nazanin="" style="font-family:">به</span> <span b="" lang="AR-SA" nazanin="" style="font-family:">تعداد</span> <span b="" lang="AR-SA" nazanin="" style="font-family:">متغیرهای</span> <span b="" lang="AR-SA" nazanin="" style="font-family:">مشاهده شده، 380 نفر</span> <span b="" lang="AR-SA" nazanin="" style="font-family:">به عنوان نمونه انتخاب شدند. دادهها</span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">با</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">استفاده</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">از</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">پرسشنامه</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">سیستمهای</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">مغزی</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">رفتاری</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">کارور</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">و</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">وایت،</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">پرسشنامه</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">سلامت</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">روانی</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">(</span></span><span dir="LTR" style="color:black">SCL-25</span><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">)،</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">حساسیت</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">اضطرابی</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">تیلور</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">و</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">کاکس</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">جمع</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">آوری</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">شد. </span></span><span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">تجزیه</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">وتحلیل</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">دادهها</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">با</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">استفاده</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">از</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">نرم</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">افزارهای</span></span> <span dir="LTR" style="color:black">SPSS</span><span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black"> و</span></span> <span dir="LTR" style="font-size:11.0pt"><span style="color:black">AMOS</span></span><span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black"> نسخه</span></span> <span b="" dir="LTR" lang="FA" nazanin="" style="font-family:"><span style="color:black">۱۸</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">انجام</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">شد. دادهها</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">با</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">استفاده</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">از</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">ضریب</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">همبستگی</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">پیرسون</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">و</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">مدلیابی</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">معادلات</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">ساختاری</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">تحلیل</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">شدند.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">یافتهها: </span></span></b><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">نتایج نشان داد که ضریب مسیرکل بین سیستم بازداری رفتاری و آسیبپذیریروانی (001/0= </span></span><span dir="LTR" style="color:black">P</span><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black"> ،300/0=</span></span><span calibri="" lang="AR-SA" style="font-family:"><span style="color:black">β</span></span><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">) مثبت و ضریب مسیرکل بین سیستم فعالسازی رفتاری و آسیبپذیریروانی (001/0= </span></span><span dir="LTR" style="color:black">P</span><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black"> ،241/0-=</span></span><span calibri="" lang="AR-SA" style="font-family:"><span style="color:black">β</span></span><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">) منفی و معنادار است. ضریب مسیر بین حساسیت اضطرابی و آسیبپذیریروانی (001/0= </span></span><span dir="LTR" style="color:black">P</span><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black"> ،384/0=</span></span><span calibri="" lang="AR-SA" style="font-family:"><span style="color:black">β</span></span><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">) مثبت و معنادار بود. ضریب مسیر غیر مستقیم بین سیستم بازداری رفتاری و آسیبپذیریروانی (002/0= </span></span><span dir="LTR" style="color:black">P</span><span b="" nazanin="" style="font-family:"><span style="color:black"> ،071/0=</span></span><span calibri="" lang="AR-SA" style="font-family:"><span style="color:black">β</span></span><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">) مثبت و ضریب مسیرغیر مستقیم بین سیستم فعالسازی رفتاری و آسیبپذیریروانی (001/0= </span></span><span dir="LTR" style="color:black">P</span><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black"> ،117/0-=</span></span><span calibri="" lang="AR-SA" style="font-family:"><span style="color:black">β</span></span><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">) منفی و معنادار بود</span></span><span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">.</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">نتیجه</span></span></b><b> </b><b><span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">گیری:</span></span></b><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black"> بر</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">این</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">اساس</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">چنین</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">نتیجه</span></span><span lang="AR-SA" style="color:black"></span><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">گیری</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">شد</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">که</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">در</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">بین</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">بیماران</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">حساسیت</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">اضطرابی</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">اثر</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">سیستم</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">بازداری</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">رفتاری</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">را</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">بر</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">آسیبپذیریروانی به</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">صورت</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">مثبت</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">و</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">سیستم</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">فعال</span></span><span lang="AR-SA" style="color:black"></span><span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">سازی</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">رفتاری</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">را</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">به</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">صورت</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">منفی</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">و</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">معنادار</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">میانجیگری</span></span> <span b="" lang="AR-SA" nazanin="" style="font-family:"><span style="color:black">میکند</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">و</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">پیشنهاد</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">میگردد</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">که</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">برای</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">تبعیت</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">از</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">درمان</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">در</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">بیماران</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">مزمن</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">علاوه</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">بر</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">بیماری</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">و</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">عوارض</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">آن</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">به</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">سلامت</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">روانی</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">هم</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">توجه</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">ویژهای</span></span> <span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black">داشت.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span b="" lang="FA" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="color:black">Introduction</span></span></b><span style="font-size:10.0pt"><span style="color:black">: Patients with diabetes usually experience a lot of psychological vulnerability after diagnosis and during the treatment process, and one of the factors related to a psychological vulnerability in patients with diabetes is behavioral brain systems, so this research aims to determine the causal relationships between the brain system Behavior with psychological vulnerability in female patients with diabetes was conducted based on the mediator role of anxiety sensitivity.</span></span></span></span><br>
<span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="color:black">Methods</span></span></b><span style="font-size:10.0pt"><span style="color:black">: The research method is descriptive and based on structural equations. The study’s statistical population included all women with diabetes in the specialized diabetes clinic of Karaj City in the first half of 2011. According to the number of observed variables in this research, 380 people were selected as samples. Data were collected using Carver and White's Behavioral Brain Systems Questionnaire, Mental Health Questionnaire (SCL-25), and Taylor and Cox Anxiety Sensitivity. Data analysis was done using SPSS and AMOS version 18 software. Data were analyzed using Pearson's correlation coefficient and structural equation modeling.</span></span><span style="font-size:10.0pt"></span></span></span><br>
<span style="font-size:12pt"><span style="tab-stops:322.65pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt">Results</span></b><span style="font-size:10.0pt"><span style="color:black">: The results showed that the total path coefficient between the behavioral inhibition system and psychological vulnerability (β=0.300, P=0.001) is positive and the total path coefficient between the behavioral activation system and psychological vulnerability (β=0.241, P=0.001) is negative. And it is meaningful. The path coefficient between anxiety sensitivity and psychological vulnerability (p=0.001, β=0.384) was positive and significant. The coefficient of the indirect path between the behavioral inhibition system and psychological vulnerability (P=0.002, β=0.071) is positive and the coefficient of the indirect path between the behavioral activation system and psychological vulnerability (P=0.001, β=0.117) is negative and it was meaningful.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="tab-stops:322.65pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt">Conclusions</span></b><span style="font-size:10.0pt">: Based on this, it was concluded that among patients, anxiety sensitivity mediates the effect of the behavioral inhibition system on psychological vulnerability in a positive way and the behavioral activation system in a negative and meaningful way, and it is suggested that to comply with treatment in chronic patients, in addition to disease and complications It also paid special attention to mental health.</span> <span style="font-size:10.0pt"></span></span></span></span><br>
<span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><span dir="RTL" lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span><br>
اضطراب, سلامت روان, آسیب شناسی روانی, دیابت, اضطراب
Anxiety, Mental Health, Psychopathology, Diabetes, Anxiety
44
55
http://jne.ir/browse.php?a_code=A-10-1697-1&slc_lang=fa&sid=1
Zahra
Taheri
زهرا
طاهری
100319475328460026583
100319475328460026583
No
Department of Psychology, Borujerd Branch, Islamic Azad University, Borujerd, Iran
دانشجوی دکتری، گروه روانشناسی، واحد بروجرد، دانشگاه آزاد اسلامی، بروجرد، ایران
Zahra
Tanha
زهرا
تنها
100319475328460026584
100319475328460026584
Yes
Assistant Professor, Department of Psychology, Khorramabad Branch, Islamic Azad University, Khorram Abad, Iran
استادیار، گروه روانشناسی، دانشکده ادبیات و علوم انسانی، واحد خرم آباد، دانشگاه آزاد اسلامی، خرم آباد، ایران
Kourosh
Amraee
کورش
امرائی
100319475328460026585
100319475328460026585
No
Assistant Professor of Psychology Department, Faculty of Literature and Humanities, University of Lorestan, Khorramabad, Iran.
استادیار گروه روانشناسی، دانشکده ادبیات و علوم انسانی، دانشگاه لرستان، خرم آباد، ایران
Saba
Hassanvandi
صبا
حسنوندی
100319475328460026586
100319475328460026586
No
Assistant Professor, Department of Psychology, Borujerd Branch, Islamic Azad University, Borujerd, Iran
استادیار، گروه روانشناسی، واحد بروجرد، دانشگاه آزاد اسلامی، بروجرد، ایران